Cancer Clinical Trial
Official title:
Evaluation of Cardiovascular Health Outcomes Among Survivors
This study will test a 2-tiered tailored intervention and evaluation of cardiovascular health outcomes among survivors designed to inform childhood cancer survivors about their individual cardiac risk and follow-up recommendations and to provide motivational support for cardiovascular (CV) screening. This study will test if the addition of telephone motivational interviewing, tailored to behavioral constructs, is superior to the current standard of care in increasing survivors' CV screening.
- This study will test the hypothesis that at 1 year post-intervention, a significantly
greater proportion of the advanced-practice nurse (APN) phone counseling group will
have undergone cardiovascular screening, as compared to the standard care group.
Cardiovascular (CV) screening will be defined, based on established CV screening
recommendations, as completion of an imaging evaluation of left ventricular systolic
function (i.e., echocardiogram, multiple uptake gated acquisition scan, or cardiac
magnetic resonance imaging).
- This study will measure changes induced by the intervention in survivors' knowledge,
motivation, fear, beliefs, affect, readiness for medical follow-up, and self-efficacy
and these changes' potential mediating effects on CV screening.
- This study will provide a cost analysis of the ECHOS intervention in terms of the
cost of left ventricular systolic function imaging per additional survivor
screened, an estimate of the cost of standard care per survivor screened, and the
cost of screening and follow-up per survivor screened.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Screening
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